Omnibus Medical Corp
NPI 1922697861ActiveOrganization· Specialist· Garden Grove, CA
Specialist in Garden Grove, California, registered in NPPES in January 2021, part of Omnibus Medical Corp. The authorized official on file is Cody Hall, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922697861 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Omnibus Medical Corp |
| NPI issued | Jan 14, 2021 |
| Last updated in NPPES | Aug 4, 2022 |
| Certified by provider | Aug 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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